Authorization Associate, MNI NonSurg Spine Pembroke Pines, FT, 8:00am - 4:30pm

• High School,Cert,GED,Trn,Exper.

• For internal staff: A minimum of 2 years experience in validating/obtaining authorizations with insurance payers and has demonstrated the ability to independently perform all functions within the Level 1 job description.
• Meets/exceeds all Individual Performance Standards for at least the most recent 6 months.
• Exceeds departmental KPIs and is cross trained in multiple areas/product lines to substitute all staff positions as needed.
• For external staff: Associates Degree preferred with 2 years experience in validating/obtaining authorizations with insurance payers, or 3 years experience in lieu of degree.
• Complete and pass the Patient Access training course.
• Ability to work in a high volume, fast-paced work environment, and perform basic mathematical calculations.
• Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills.
• Desired: Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, Medicare coverage structure, including medical necessity compliance guidelines.
• Understanding of insurance contracts, collections, authorizations, and pre-certifications, Microsoft Office products, and EMR applications, etc.
• Knowledge of medical terminology.
• Bilingual English, Spanish/Creole preferred.

EOE, including disability/vets